Mycotic aneurysm rupture of the descending aorta.
A 69-year-old diabetic male with salmonella bacteremia developed hypovolemic shock and swelling of the neck. A CT examination revealed massive mediastinal hemorrhage extending into the neck soft tissues caused by false aneurysm rupture of the descending thoracic aorta. Aortography showed continuous extravasation from a large leak at the medial side of the descending thoracic aorta. Although surgical intervention was immediately performed, the patient died 3 weeks later from multiple-organ failure. In this report, CT and angiographic findings of mycotic aneurysm rupture are presented and a review is given.
Gufler
H
H
Department of Radiology, Albert-Ludwigs-Universität, Hugstetterstrasse 55, D-79 106 Freiburg, Germany.
Buitrago-Tellez
C H
CH
Nesbitt
E
E
Hauenstein
K H
KH
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000382:microbiology; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000382:microbiology; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000382:microbiology; D016470:Bacteremia / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications; D012486:Salmonella typhimurium; D014057:Tomography, X-Ray Computed